Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.22 / $130.44 / $260.88	Facility		$65.22	$130.44	$260.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.22 / $104.35 / $559.15	Professional		$65.22	$104.35	$559.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.52 / $56.52 / $56.52	Facility		$56.52	$56.52	$56.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.20 / $99.95 / $163.77	Professional		$52.20	$99.95	$163.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.83 / $47.83 / $47.83	Professional		$47.83	$47.83	$47.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.41 / $104.35 / $170.04	Facility		$61.41	$104.35	$170.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.96 / $86.96 / $163.77	Professional		$86.96	$86.96	$163.77
United Facility/Professional Professional Modifier Low / Median / High Price $36.52 / $51.73 / $53.31	Professional		$36.52	$51.73	$53.31